DenialIntel

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B07M000056›BRIAN KUMAR

BRIAN KUMAR

Subscriber on policy B07M000056

Claims
3
Attributed to this person
Charged
1,542.00
Total submitted
Denied
814.00
2 denied claims
Patient responsibility
0.00
Reported on the 835

Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.

Who this is

FieldValue
NameBRIAN KUMAR
Role on the policySubscriber
PolicyB07M000056
Date of birth16 Apr 1997
PlanBRONZE EPO
Covered from20 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000025322 Oct 2025728.00CASCADE CARENot denied—
CLM00002554 Oct 2025349.00CASCADE CARECARC 18 · DUPLICATE349.00
CLM00002543 May 2025465.00CASCADE CARECARC 96 · NON_COVERED465.00